Fadi Samir Azer, MD
Individual provider Active NPI Diagnostic Radiology Physician · Charlotte, NC
NPI 1285098749 · NPPES record last updated Jul 22, 2022
Key facts
- NPI
- 1285098749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 2022-00008 (NC)
- Practice address
- 700 E Morehead St Ste 300
Charlotte, NC 28202-2742 - Phone
- (704) 334-7800
- NPI assigned
- Apr 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Vanderbilt University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Charlotte Radiology PA
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 362-1945
1656 Riverchase Blvd
Suite 1200
Rock Hill, SC 29732-0270
Phone (803) 327-9934
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
- Atrium Health Pineville
- Carolinas Medical Center-Northeast
- Atrium Health Union
- Atrium Health University City
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220309003267 | NC | Practitioner - Diagnostic Radiology | 8729487624 | Reassigns benefits to 1 organization |
| I20220310000162 | SC | Practitioner - Diagnostic Radiology | 8729487624 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61518 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Radiology P a | Current |
Accepting new patients | |
| Carolinas Imaging Services, LLC | Current |
Accepting new patients | |
| Union Medical Services LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Charlotte Radiology PA | Diagnostic Radiology | Past |
Accepting new patients |
| Tuhc Radiology Group LLC | Diagnostic Radiology | Past |
Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
12335 N Community House Rd
Ste B
Charlotte, NC 28277
700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390
724 Aubrey Bell Dr
Matthews, NC 28105
Phone (704) 295-3550
7666 Charlotte Hwy
Ste 120
Indian Land, SC 29707
Phone (803) 328-6281
1656 Riverchase Blvd
Ste 1200
Rock Hill, SC 29732
Phone (803) 327-9934
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 61518 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 2022-00008 | NC | Yes |
Addresses
Primary practice location
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Mailing address
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Other practice location 1
3601 The Vanderbilt Clinic
Nashville, TN 37232-0001
Phone (615) 322-3000
Other practice location 2
2009 Mallory Ln Ste 150
Franklin, TN 37067-2872
Phone (615) 771-8668
Other practice location 3
1909 Acklen Ave
Nashville, TN 37212-3713
Phone (615) 777-9729
Other practice location 4
1211 Medical Center Dr
Nashville, TN 37232
Phone (615) 322-5000
Other practice location 5
719 Thompson Ln
Nashville, TN 37204-3609
Phone (615) 936-3606
Other practice location 6
4525 Harding Pike Ste 102
Nashville, TN 37205-2145
Phone (615) 463-3034
Other practice location 7
337 22nd Ave N
Nashville, TN 37203-1840
Phone (615) 327-1500
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fazer17898@direct.vumc.org | Direct |
Other providers in Charlotte, NC
- Samantha Ayres
- Ayrsley Town Rehabilitation, LLC
- Lelia G Azali
- Aris A. Azar
- Elizabeth Azar
- Hope Aziz
- Steven Aziz
- Danielle Azolin
- Patricia Azra
- B & B Home Care & Associates, LLC
All providers in Charlotte, NC · Diagnostic Radiology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.